A Study to Learn About the Study Medicine (Called PF-07220060 in Combination With PF-07104091) In Participants With Breast Cancer and Solid Tumors

NCT ID: NCT05262400

Last Updated: 2024-11-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

192 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-03-14

Study Completion Date

2026-08-23

Brief Summary

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The purpose of this clinical trial is to learn about the safety and effects of the study medicine (called PF-07220060 and PF-07104091) in people with breast cancer. This clinical study consists of 2 parts (part 1 and part 2). In part 1, we are seeking participants who:

* Have been diagnosed with Breast Cancer (BC) of either types:
* Have HR+, HER2- BC
* Refractory HR-positive/HER2-positive BC
* Have other solid tumors other than BC

In part 2, we are seeking participants who:

-Have HR-positive/HER2-negative BC Part 1 will include increasing doses of PF-07220060 with PF-07104091. In part 2, participants will take 1 of 2 study medicine combinations. This will help us decide the highest amount of study medicines that can be safety given to people. All participants in this study will receive PF-07220060 with PF-07104091 by mouth. We will compare participant experiences to help us determine if PF-07220060 with PF-07104091 is safe and effective. Participants will take part in this study for about 2 years. During this time, they will receive the study medicine, an x-ray imaging, and will be observed for safety and effects of the study medicines.

Detailed Description

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Conditions

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Breast Cancer Solid Tumors

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Part 1 Dose Escalation - Dose Level 1

PF-07220060 + PF-07104091 dose escalation (Breast Cancer or solid tumors)

Group Type EXPERIMENTAL

PF-07220060 + PF-07104091 combination dose escalation

Intervention Type DRUG

PF-07104091 and PF-07220060 will be administered orally

Part 1 Dose Escalation - Dose Level 2

PF-07220060 + PF-07104091 dose escalation (Breast Cancer or solid tumors)

Group Type EXPERIMENTAL

PF-07220060 + PF-07104091 combination dose escalation

Intervention Type DRUG

PF-07104091 and PF-07220060 will be administered orally

Part 1 Dose Escalation - Dose Level 3

PF-07220060 + PF-07104091 dose escalation (Breast Cancer or solid tumors)

Group Type EXPERIMENTAL

PF-07220060 + PF-07104091 combination dose escalation

Intervention Type DRUG

PF-07104091 and PF-07220060 will be administered orally

Part 1 Dose Escalation - Dose Level 4

PF-07220060 + PF-07104091 dose escalation (Breast Cancer or solid tumors)

Group Type EXPERIMENTAL

PF-07220060 + PF-07104091 combination dose escalation

Intervention Type DRUG

PF-07104091 and PF-07220060 will be administered orally

Part 1 Dose Escalation - Dose Level 5

PF-07220060 + PF-07104091 dose escalation (Breast Cancer or solid tumors)

Group Type EXPERIMENTAL

PF-07220060 + PF-07104091 combination dose escalation

Intervention Type DRUG

PF-07104091 and PF-07220060 will be administered orally

Part 2A

PF-07220060 + PF-07104091 + Fulvestrant (ER+/HER2- Breast Cancer with at least 1 prior systemic therapy for advanced or metastatic disease, including CDK4/6 inhibitor treatment and Endocrine Therapy)

Group Type EXPERIMENTAL

PF-07104091 + PF-07220060 + fulvestrant dose expansion

Intervention Type DRUG

PF-07104091 and PF-07220060 will be administered orally in combination with fulvestrant

Part 2B

PF-07220060 + PF-07104091 + Fulvestrant (ER+/HER2- Breast Cancer with at least 1 prior endocrine therapy and up to 1 prior line of chemotherapy for advanced or metastatic disease and no prior treatment with any CDK4/6 inhibitor for advanced disease)

Group Type EXPERIMENTAL

PF-07104091 + PF-07220060 + fulvestrant dose expansion

Intervention Type DRUG

PF-07104091 and PF-07220060 will be administered orally in combination with fulvestrant

Part 2C

PF-07220060 + PF-07104091 + Letrozole (ER+/HER2- Breast Cancer with no prior treatment with any CDK4/6 inhibitor for advanced disease)

Group Type EXPERIMENTAL

PF-07104091 + PF-07220060 + letrozole dose expansion

Intervention Type DRUG

PF-07104091 and PF-07220060 will be administered orally in combination with letrozole

Part 1 Dose Escalation - Dose Level 6

PF-07220060 + PF-07104091 dose escalation (Breast Cancer or solid tumors)

Group Type EXPERIMENTAL

PF-07220060 + PF-07104091 combination dose escalation

Intervention Type DRUG

PF-07104091 and PF-07220060 will be administered orally

Part 1 Dose Escalation - Dose Level 7

PF-07220060 + PF-07104091 dose escalation (Breast Cancer or solid tumors)

Group Type EXPERIMENTAL

PF-07220060 + PF-07104091 combination dose escalation

Intervention Type DRUG

PF-07104091 and PF-07220060 will be administered orally

Part 1 Dose Escalation - Dose Level 8

PF-07220060 + PF-07104091 dose escalation (Breast Cancer or solid tumors)

Group Type EXPERIMENTAL

PF-07220060 + PF-07104091 combination dose escalation

Intervention Type DRUG

PF-07104091 and PF-07220060 will be administered orally

Interventions

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PF-07220060 + PF-07104091 combination dose escalation

PF-07104091 and PF-07220060 will be administered orally

Intervention Type DRUG

PF-07220060 + PF-07104091 combination dose escalation

PF-07104091 and PF-07220060 will be administered orally

Intervention Type DRUG

PF-07220060 + PF-07104091 combination dose escalation

PF-07104091 and PF-07220060 will be administered orally

Intervention Type DRUG

PF-07220060 + PF-07104091 combination dose escalation

PF-07104091 and PF-07220060 will be administered orally

Intervention Type DRUG

PF-07220060 + PF-07104091 combination dose escalation

PF-07104091 and PF-07220060 will be administered orally

Intervention Type DRUG

PF-07104091 + PF-07220060 + fulvestrant dose expansion

PF-07104091 and PF-07220060 will be administered orally in combination with fulvestrant

Intervention Type DRUG

PF-07104091 + PF-07220060 + fulvestrant dose expansion

PF-07104091 and PF-07220060 will be administered orally in combination with fulvestrant

Intervention Type DRUG

PF-07104091 + PF-07220060 + letrozole dose expansion

PF-07104091 and PF-07220060 will be administered orally in combination with letrozole

Intervention Type DRUG

PF-07220060 + PF-07104091 combination dose escalation

PF-07104091 and PF-07220060 will be administered orally

Intervention Type DRUG

PF-07220060 + PF-07104091 combination dose escalation

PF-07104091 and PF-07220060 will be administered orally

Intervention Type DRUG

PF-07220060 + PF-07104091 combination dose escalation

PF-07104091 and PF-07220060 will be administered orally

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Part 1: Breast Cancer (BC)
* HR+, HER2- BC
* Refractory HR-positive/HER2-positive BC
* Part 1: Solid Tumors other than BC
* Part 2:
* HR-positive/HER2-negative BC
* Lesion:
* Part 1: evaluable lesion (including skin or bone lesion only)
* Part 2: measurable lesion per RECIST v1.1
* Prior systemic Treatment
* Part 1: HR-positive/HER2-negative BC
* At least 1 line of SOC, including CDK4/6 inhibitor therapy and Endocrine Therapy, for advanced or metastatic disease.
* Prior chemotherapy in the metastatic setting is allowed.
* Part 1: HR-positive/HER2-positive BC
* At least 1 prior treatment of approved HER2 targeting therapy.
* Part 1: Solid Tumors other than BC
* Participants with no standard therapy available or for which no local regulatory approved standard therapy is available that would confer significant clinical benefit in the medical judgement of the investigator.
* Part 2A: At least 1 prior systemic therapy for advanced or metastatic disease, including CDK4/6 inhibitor treatment and ET.
* Parts 2B: At least 1 prior endocrine therapy for advanced or metastatic disease. Progression during treatment or within 12 months of completion of adjuvant endocrine therapy is acceptable.
* Part 2B: Up to 1 prior line of chemotherapy for advanced/metastatic disease is allowed.
* Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) 0 or 1
* Adequate renal, liver, and bone marrow function
* Resolved acute effects of any prior therapy to baseline severity

Exclusion Criteria

* All Study Parts: Permanent treatment discontinuation from prior CDK 4 and/or CDK2 inhibitor due to treatment related toxicity.
* Part 2B and 1C: Prior treatment with any CDK 4/6 inhibitor, or SERDs (e.g. fulvestrant), or everolimus, or any agent whose mechanism of action is to inhibit the PI3K-mTOR pathway for advanced disease.
* Parts 2B and 2C: Prior treatment with any CDK4/6 inhibitor for advanced disease.
* Parts 2B and 2C: Prior treatment with an investigational endocrine therapy for advanced disease.
* Part 2C: Prior neoadjuvant or adjuvant treatment with a nonsteroidal aromatase inhibitor AI (ie, anastrozole or letrozole) with disease recurrence while on or within 12 months of completing treatment.
* Part 2C: Any prior systemic treatment for advanced disease.
* Prior irradiation to \>25% of the bone marrow
* Current use of drugs which have a risk for QTc prolongation
* Current use or anticipated need for food or drugs that are known strong CYP3A4/5, strong UGT2B7 or UGT1A9 inhibitors or inducers
* Participation in other studies involving investigational drug(s) within 4 weeks prior to study entry

* Participants with any other active malignancy within 3 years prior to enrollment except for adequately treated basal cell or squamous cell skin cancer, or carcinoma in situ of the cervix, Bowen's disease
* Major surgery within 4 weeks prior to study entry
* Radiation therapy within 4 weeks prior to study entry.
* Clinically important hypertension
* Known or suspected hypersensitivity to PF-07220060, PF-07104091, letrozole, fulvestrant, or goserelin (or equivalent to induce chemical menopause if applicable)
* Known abnormalities in coagulation. Anticoagulation with subcutaneous heparin or prophylactic doses of anticoagulant are allowed
* Known active uncontrolled or symptomatic central nervous system (CNS) metastases
* Active inflammatory GI disease
* Current use or anticipated need for Proton Pump Inhibitors (PPI) within 14 days prior to first dose of the study intervention
* Previous high-dose chemotherapy requiring stem cell rescue
* Participants with active, uncontrolled bacterial, fungal, or viral infection, including hepatitis B virus (HBV), hepatitis C virus (HCV), and known human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS) related illness
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pfizer CT.gov Call Center

Role: STUDY_DIRECTOR

Pfizer

Locations

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Administrative Address: UCLA Hematology/Oncology

Los Angeles, California, United States

Site Status

Ronald Reagan UCLA Medical Center

Los Angeles, California, United States

Site Status

UCLA Hematology/Oncology

Los Angeles, California, United States

Site Status

UCLA Hematology / Oncology-Parkside

Santa Monica, California, United States

Site Status

UCLA Hematology/Oncology-Santa Monica

Santa Monica, California, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

START Midwest

Grand Rapids, Michigan, United States

Site Status

Saint Luke's Cancer Institute

Kansas City, Missouri, United States

Site Status

Texas Oncology-Baylor Charles A. Sammons Cancer Center

Dallas, Texas, United States

Site Status

The University of Texas MD Anderson Cancer Center

Houston, Texas, United States

Site Status

Swedish Medical Center

Seattle, Washington, United States

Site Status

Swedish Medical Center

Seattle, Washington, United States

Site Status

Clinica Viedma S. A

Viedma, Río Negro Province, Argentina

Site Status

Centro Oncologico Korben

Buenos Aires, , Argentina

Site Status

Clínica Universitaria Reina Fabiola

Córdoba, , Argentina

Site Status

Fundación CORI para la Investigación y Prevención del Cáncer

La Rioja, , Argentina

Site Status

ONCOSITE - Centro de Pesquisa Clinica em Oncologia

Ijuí, Rio Grande do Sul, Brazil

Site Status

Centro Gaucho Integrado De Oncologia, Hematologia, Ensino E Pesquisa

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Centro de Pesquisa Clínica - Área Administrativa

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Fundação Pio XII - Hospital de Câncer de Barretos

Barretos, São Paulo, Brazil

Site Status

Clínica de Pesquisas e Centro de Estudos em Oncologia Ginecológica e Mamária Ltda

São Paulo, , Brazil

Site Status

Multiprofile Hospital for Active Treatment Serdika EOOD

Sofia, Sofia (stolitsa), Bulgaria

Site Status

Specialized Hospital for Active Treatment of Oncology - Haskovo

Haskovo, , Bulgaria

Site Status

Complex Oncology Center - Plovdiv EOOD

Plovdiv, , Bulgaria

Site Status

Multiprofile Hospital for Active Treatment Serdika EOOD

Sofia, , Bulgaria

Site Status

Complex Oncology Center - Vratsa

Vratsa, , Bulgaria

Site Status

The First Hospital of Jilin University

Changchun, Jilin, China

Site Status

Fudan University Shanghai Cancer Center

Shanghai, Shanghai Municipality, China

Site Status

West China Hospital of Sichuan University

Chengdu, Sichuan, China

Site Status

West China Hospital, Sichuan University

Chengdu, Sichuan, China

Site Status

Tianjin Medical University Cancer Institute & Hospital

Tianjin, Tianjin Municipality, China

Site Status

Sir Run Run Shaw Hospital of Zhejiang University School of Medicine

Hangzhou, Zhejiang, China

Site Status

Sir Run Run Shaw Hospital

Hangzhou, Zhejiang, China

Site Status

Fakultni nemocnice Olomouc

Olomouc, Olomoucký kraj, Czechia

Site Status

Fakultni nemocnice Bulovka

Prague, Praha 8, Czechia

Site Status

Vseobecna fakultni nemocnice v Praze

Prague, , Czechia

Site Status

Instituto Nacional de Cancerologia

Mexico City, Mexico City, Mexico

Site Status

Hospital Universitario "Dr. Jose Eleuterio Gonzalez"

Monterrey, Nuevo León, Mexico

Site Status

Mérida Investigación Clínica

Mérida, Yucatán, Mexico

Site Status

FARMOVS

Bloemfontein, Free State, South Africa

Site Status

15 Eton Road

Johannesburg, Gauteng, South Africa

Site Status

Charlotte Maxeke Johannesburg Academic Hospital

Johannesburg, Gauteng, South Africa

Site Status

WCR Office

Johannesburg, Gauteng, South Africa

Site Status

Wits Clinical Research

Johannesburg, Gauteng, South Africa

Site Status

Wilgers Oncology Centre

Pretoria, Gauteng, South Africa

Site Status

CHUS - Hospital Clinico Universitario

Santiago de Compostela, A Coruña [LA Coruña], Spain

Site Status

Hospital Universitari Vall d'Hebron

Barcelona, Barcelona [barcelona], Spain

Site Status

Hospital Clínic de Barcelona

Barcelona, Catalunya [cataluña], Spain

Site Status

Hospital Universitario 12 de Octubre

Madrid, Madrid, Comunidad de, Spain

Site Status

Hospital Universitario HM Sanchinarro

Madrid, Madrid, Comunidad de, Spain

Site Status

Hospital Universitario Virgen Del Rocio

Seville, , Spain

Site Status

Countries

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United States Argentina Brazil Bulgaria China Czechia Mexico South Africa Spain

Related Links

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https://pmiform.com/clinical-trial-info-request?StudyID=C4391002

To obtain contact information for a study center near you, click here.

Other Identifiers

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2022-002173-28

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

2023-509504-15-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

C4391002

Identifier Type: -

Identifier Source: org_study_id

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